Agenda and minutes

Apologies had been received from Mr Jeremy Simons and Mr Gareth Moore.

There were no declarations of interest.

To agree the minutes of the meeting held on 29 Janaury 2016.

Resolved – that the minutes of the previous meeting be agreed as an accurate record.

Presentation from City & Hackney CCG.

The Board received a presentation from City and Hackney CCG representatives regarding the sustainable transformation plan and the five-year Sustainability and Transformation Plan (STP) would be place based and driving the Five Year Forward View. The plan would focus on achieving financial balance and improving health and wellbeing and care and quality. It would include a 1 year plan which will link to the five year plan. Members agreed that there must be a partnership approach across NHS and local authorities to agree the gaps and develop/implement plans. The plans would include:

ü  Aligning commissioning plans

ü  Sharing commissioning funding

ü  Contracting for integration

Members noted that the national submission timescale was 15^th April for an initial Submission. The final submission would be 30^th June. There would be further integration of commissioning budgets and functions in order to support delivery of an integrated hackney wide health and social care system. Officers would be looking for devolution of some specialised services, wider primary care and public health functions from NHS England and Public Health England.

In response to a query, Members noted that the following governance system would support the oversight for the City: 

•        Transformation Board

ü  City has place on board that oversees City and Hackney STP

ü  City also has watching brief on devolution work plan

ü  Work ongoing as part of CCG planning to understand City dimension of all contracts

•        Integrated Care Programme Board

ü  City specific group assess integrated care plans to ensure they are focussed on needs of City patients

ü  City BCF supports local adaptation of services

•        Transformation Funding

ü  £250,000 transformation funding allocated via CCG to ensure that new integrated care model is adapted for City patients in 16/17

ü  City of London and CCG to share

Report of the Health & Wellbeing Officer.

Members of the Board were informed that the Government introduced local accounts otherwise known as annual reports in 2011 to help residents see how well local adult social care services were being delivered and what needed to improve in their area. Officers presented the City of London Corporation’s Adult Social Care Annual Report 2014/15 to be published by the Department of Children’s and Community Services.

Board Members noted the aim of the annual report is to give an account of the work in the last financial year and priorities for the future, and in doing so to be accountable and transparent. The production of these reports is voluntary and not a statutory requirement. In response to a query, Board Members were informed that this report would be circulated to the Community and Children’s Services Committee for their consideration in due course.

Resolved – that the City of London’s Adult Social Care Annual Report be approved.

Report of the Programme Manager.

Members of the Board noted the update on development of the Plan for 2016/17 and were asked to approve the final submission of the plan, due on 25 April

2016.

Members were informed that the Better Care Fund (BCF) aimed to facilitate the integration of health and social care services at a local level. It required Clinical Commissioning Groups (CCGs) and local authorities in every area to pool budgets and agree an integrated spending plan for how they will use their BCF allocation. The spending plan can include a range of schemes that are commissioned by either the CCG or the local authority. Officers informed the Board Members that for 2016/17, the national BCF would be increased to a mandated minimum of

£3.9bn (compared to £3.8bn in 2015/16), subject to national conditions.

In response to a query Members noted that the BCF included a number of performance metrics which local areas were required to set targets for. Members agreed to consider these targets during the non-public part of the meeting.

Plans for the City of London BCF 2016/17 would build on some of the successes of the 2015/16 plan and would also introduce some new areas in line with strategic priorities and emerging areas of work.  Proposed schemes to be commissioned through the BCF by the City of London Corporation include:

-        Continuation and expansion of the Care Navigator scheme which assists City residents to have a safe discharge from hospital

-        Disabled Facilities Grant to help with adaptations for disabled people to stay in their own homes

-        Continuation of a project to help people with long term mental health conditions to move to more independent living and a floating support worker to help facilitate integration across a number of services which support independence

-        Some City specific community

Report of the Superintendent of the City of London Police.

Members of the Board had requested a report at their meeting in

December 2015, regarding work the City of London Police is doing to promote health and wellbeing both inside and outside of the force. A request was also made for information on the referral process for vulnerable people.

Members noted the detail on the force signing up to the Blue Light “Time to Change”

Pledge, which encouraged openness about mental health issues, the Liaison and

Diversion Service within custody and an update on the issue we have with no secure juvenile overnight accommodation being available. Also included is some

information on the Multi-Agency Risk Assessment Conference and City Community

Multi-Agency Risk Assessment Conference referral processes.

Assistant Commissioner Wayne Chance signed the Blue Light Pledge on 4th

February, which coincided with Time to Talk Day, a nationwide event run by

Mind to end the stigma and discrimination often attached to health problems.

Mental health problems affect one in four people every year, and yet people are

often reluctant to talk about their experiences as they worry it might affect their

relationships or their job.

Members noted that the City of London Police had in place in their custody suite a Liaison and Diversion Service, which was a number of specially trained mental health nurses who could identify a person with one or more mental health, learning disability or substance misuse vulnerabilities when they came into contact with the justice system. They assess the identified individual and refer them to an appropriate treatment or support service and can also access summary care records whilst the individual is in custody to assist with their care and our risk assessment.

In response to a query, Members noted that secure accommodation for juveniles in custody was being discussed at the Youth Offending Team Management

Report of the Health & Wellbeing Policy Officer.

Board Members received an overview of local developments on the following areas:

· Healthwatch Update

· Safer City partnership update

· Square Mile Health update

· AWP update

· Child Poverty Update

· Samaritans bridge sign extension

· CityWell Launch

Members received the a Suicide Prevention Leaflet which had been commissioned by the City of London Corporation. These leaflets would be handed out to people crossing London Bridge.

Resolved – that the update be received.

Report of the Health & Wellbeing Policy Officer.

Members of the Board noted that the City of London Health and Wellbeing Board (HWB) selected a number of key recommendations from the London Health Commission’s Better Health for London report for further exploration, including increasing the physical activity of Londoners, specifically by encouraging workers and residents to walk or cycle more. It was agreed that a proposal be brought before the board outlining how the HWB can promote and support active travel.

Members noted the initiatives currently underway to increase active travel amongst

residents and workers in the City, which include redeveloping the built environment

and activities to encourage and promote active travel, and makes recommendations

of what further initiatives the Board can support.

Living Streets, a pedestrian advocate charity, critically reviewed all new strategies and policies proposed by the Department of the Built Environment to determine their impact on pedestrians and make recommendations on how to ensure they are pedestrian friendly. Living Streets also provided “Walk Doctor” surgeries free of charge to City companies, to help employees incorporate walking into their daily journeys. Members agreed that this provision should be well advertised through the City Corporation website and the Business Healthy programme.

Discussions ensued regarding whether the Health and Wellbeing Board was able to actively and effectively influence the debate about whether the City of London Corporation should be attempting to limit the number of motor vehicles entering the SquareMile, and how this could be enforced. Members agreed that whilst they encouraged the work of the Department of the Built Environment, the Planning and Transportation Committee would be better placed to encourage Officers to work with TfL to influence the way it manages cyclist and pedestrian flows around the east-west cycle superhighway and the way in which it manages its cycle hire scheme, to make it

There were no questions.

There was no urgent business.

MOTION - That under Section 100A(4) of the Local Government Act 1972, the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

It was agreed that under Section 100A(4) of the Local Government Act 1972, the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in Paragraph 3 of Part I of Schedule 12A of the Local Government Act.

Report of the Health & Wellbeing Policy Officer.

The Health and Wellbeing Board received a non-public report of the Director of Community and Children’s Services.

Report of the Commissioning and Performance Manager.

The Health and Wellbeing Board received a non-public report of the Director of Community and Children’s Services.

There were no questions.

There was no urgent business.